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Breath odor





Breath odor

Definition:

Breath odor is unpleasant, distinctive, or offensive.


Alternative Names:
Bad breath; Halitosis
Considerations:

Some disorders will produce specific, characteristic odors to the breath.

A fruity odor to the breath occurs as the body attempts to get rid of excess acetone through the breathing. This is a characteristic sign of ketoacidosis, which may occur in diabetes, and is a potentially life-threatening condition.



A fecal odor to the breath (the breath smells like feces) can occur with prolonged vomiting, especially when there is a bowel obstruction. It may also occur temporarily if a person has a nasogastric tube (a tube placed through the nose or mouth to the stomach to drain the stomach contents) in place.

The breath may have an ammonia-like odor (also described as urine-like or "fishy") in people with chronic kidney failure.


Common Causes:

If previously normal breath turns into halitosis, causes could include:

  • Food or beverages consumed (such as cabbage, garlic, raw onions, or coffee)
  • Vitamin supplements (especially in large doses)
  • Poor dental hygiene
  • Dentures
  • Cavities
  • Tobacco smoking
  • Alcoholism
  • Throat infection
  • Sinusitis
  • Lung infection
  • Gum disease (gingivitis, gingivostomatitis)
  • Abscessed tooth
  • Impacted tooth
  • Foreign body in the nose (usually in children)
    • Often (but not always) there is a white, yellowish, or bloody discharge from one nostril
  • Drugs
    • Paraldehyde
    • Triamterene and inhaled anesthetics
    • Insulin - injection
Diseases that may be associated with breath odor (not presented in order of likelihood -- some are extremely unlikely):



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